J Reconstr Microsurg 2004; 20(4): 285-289
DOI: 10.1055/s-2004-824885
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

One-Bone Forearm Reconstruction Using Vascularized Fibular Graft for Massive Forearm Soft-Tissue and Bone Defect: Case Report

Takuro Wada1 , Satoshi Kawaguchi1 , Satoshi Isogai1 , Satoshi Nagoya1 , Toshihiko Yamashita1
  • 1Department of Orthopaedic Surgery, Sapporo Medical University, Sapporo, Japan
Further Information

Publication History

Accepted: 6 January 2004

Publication Date:
19 April 2004 (online)

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The authors report a case of recurrent malignant fibrous histiocytoma with extensive bone- and soft-tissue involvement, successfully treated with one-bone forearm reconstruction using a vascularized fibular graft and multiple tendon transfer. Twenty-four months after surgery, elbow and hand functions were maintained, and the patient had no disturbance of hand function in daily activity, although rotation of the forearm was sacrificed. No local recurrence or metastasis was noted. The procedure is a useful reconstructive option for complex tissue defects following wide excision of sarcoma of the forearm.

REFERENCES

Takuro WadaM.D. 

Department of Orthopaedic Surgery, Sapporo Medical University

South 1, West 16

Sapporo 060-8543, Japan